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2025 ICD-10-CM code O99.83

Other infection carrier state complicating pregnancy, childbirth, and the puerperium.

Codes from this chapter (Chapter 15) are exclusively for maternal records; never use them on newborn records. Additional codes should be used if applicable from category Z3A (Weeks of gestation) to identify the specific week of pregnancy.Always ensure accurate identification of the specific carrier state using codes from category Z22.

Medical necessity is established by the presence of an infection carrier state that complicates the pregnancy, childbirth, or puerperium.This requires documentation establishing the carrier status through laboratory testing or other appropriate clinical evidence and that this condition necessitates ongoing monitoring, treatment, or intervention during the pregnancy or postpartum period.

Obstetrician-gynecologists (OB-GYNs) and other healthcare professionals involved in maternal care are responsible for diagnosing and managing conditions coded with O99.83. This includes identifying the specific infection carrier state and implementing appropriate treatment and monitoring protocols.Infectious disease specialists may be consulted in complex cases.

IMPORTANT Use additional code to identify the carrier state (Z22.-).Excludes genitourinary infections in pregnancy (O23.-), infection of the genitourinary tract following delivery (O86.1-O86.4), malignant neoplasm complicating pregnancy, childbirth and the puerperium (O9A.1-), maternal care for known or suspected abnormality of maternal pelvic organs (O34.-), postpartum acute kidney failure (O90.49), and traumatic injuries in pregnancy (O9A.2-).

In simple words: This code is for situations where a mother carries an infection during pregnancy, childbirth, or the postpartum period, but the specific infection isn't listed in other codes.Doctors will use another code to specify which infection it is.

This code classifies other infection carrier states that complicate pregnancy, childbirth, or the puerperium.It is used when the pregnancy, childbirth, or puerperium is affected by an infection carrier state not specifically listed elsewhere.An additional code should be used to specify the carrier state (Z22.-).

Example 1: A pregnant woman is found to be a carrier of Hepatitis B virus (HBV).The HBV does not cause active disease in the mother but poses a risk to the newborn. O99.83 is used along with a code from category Z22 to specify the HBV carrier state., A woman develops a latent tuberculosis (TB) infection during pregnancy.While the TB is not active, it is still a relevant complication and is coded with O99.83 and a Z22 code to identify the TB infection carrier state. Close monitoring and treatment are required to prevent reactivation during or after pregnancy., A postpartum woman is identified as a carrier for Group B Streptococcus (GBS). Though she had no symptoms during her pregnancy and delivery, routine screening revealed her carrier status. O99.83 and a code from the Z22 category is used for documentation.

Complete prenatal history, including known infectious diseases, screening tests (e.g., for Hepatitis B, TB, GBS), results from all tests and examinations.Relevant laboratory findings documenting carrier status, and physician notes describing the management plan and any interventions.In cases of newborn involvement, documentation regarding the infant’s condition should also be included.

** This code is used when the infection carrier state does not manifest clinically as an active infection but requires management due to the risk it poses to the mother or the fetus.Always confirm the carrier state through appropriate diagnostic testing.

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